Individual
JUAN MANUEL MUNOZ MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVENUE, NORFOLK, VA 23507
(757) 446-8920
Mailing address
MACON & JOAN BROCK VHS AT OLD DOMINION UNIVERSITY -EVMS, P.O. BOX 1980, GRADUATE MEDICAL EDUCATION, NORFOLK, VA 23501
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
09/12/2025
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